<!-- reserve -->
<?php echo $this -> Form -> create('reserve', array('data-ajax' => 'false'));?>
<div data-role="fieldcontain">
<fieldset data-role="controlgroup">
 <?php echo $this -> Form -> input('customerNo', array('label' => '', 'placeholder' => '診察券番号をご入力ください。'));?>
</fieldset>
</div>
<?php
echo $this -> Form -> button('次へ', array('type' => 'submit', 'data-role' => 'button', 'data-transition' => 'fade', 'data-theme' => 'b'));
echo $this -> Html -> link('初診の受付', array('controller' => 'customers', 'action' => 'add'), array('data-role' => 'button', 'data-transition' => 'fade', 'data-theme' => 'b', 'rel' => 'external'));
echo $this -> Form -> end();
?>